Middleburg Montessori School

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner In the YCC classroom, there were two lunch boxes from home that were stored in the children’s cubbies that were not dated.”

22.1-289.035-B-4

“(Repeat Violation) The Provider is required to request a check of the central registry record and the sex offender registry record from all states in which staff members have resided within the last five years prior to employment. The record for Staff #1 did not contain documentation that a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment. The background checks should have been completed 5 weeks ago.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1) On the tree on the front playground, there are 3 branches protruding from the tree at 3 feet from the ground with sharp points. 2) On the front playground, on the fourth fence panel from the right side facing the road, there is a decaying board that is loose and can be pushed open as well as 2 sharp screws protruding. 3) On the front playground on the ground in the patio area, there are 5 potted trees with sharp points that are between 12 and 18 inches high that cause an impalement risk.”

22.1-289.036-A

“The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check. The record for Staff #2 contained a subsequent fingerprint background check completed over 13 months after the due date, and Staff #3 contained a subsequent fingerprint background check completed over 14 months after the due date.”

22.1-289.035-B-4

“(Repeat Violation) The Provider is required to request the results of a criminal history record check, a sex offender registry search, and a central registry check from all states in which staff members have resided within the last five years prior to employment. The record for Staff #1 did not contain documentation that a criminal history record check, a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment 14 months ago.”

8VAC20-780-80-A

“(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. During inspection in the Children’s House classroom (ages 3-6 years old), there were 12 children present, but the written record reflected there were 11 children present.”

22.1-289.036-A

“The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check. The record for Staff #2 contained a subsequent fingerprint background check completed over 13 months after the due date, and Staff #3 contained a subsequent fingerprint background check completed over 14 months after the due date.”

22.1-289.035-B-4

“(Repeat Violation) The Provider is required to request the results of a criminal history record check, a sex offender registry search, and a central registry check from all states in which staff members have resided within the last five years prior to employment. The record for Staff #1 did not contain documentation that a criminal history record check, a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment 14 months ago.”

8VAC20-780-80-A

“(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. During inspection in the Children’s House classroom (ages 3-6 years old), there were 12 children present, but the written record reflected there were 11 children present.”

22.1-289.035-B-3

“For staff hired after 7/1/24, the Provider is required to request a Central Registry check prior to employment. The record for Staff #1 did not contain documentation that the Central Registry check had been requested prior to hire.”

8VAC20-780-260-A

“The Center is required to ensure that they receive annual approval from the health department or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system and food service if applicablle. The health inspection on file expired 3 months ago.”

8VAC20-780-80-A

“(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. 1)During inspection in the YCC1 classroom, there were 3 children present, but the written record reflected there were 6 children present. 2) During inspection in the YCC2 classroom, there were 8 children present, but the written record reflected there were 4 children present.”

22.1-289.035-B-2

“The Center is required to obtain documentation of the results of a national fingerprint background check prior to date of hire. The record for Staff #1 did not contain documentation of a fingerprint background check that was completed prior to the date of hire.”

8VAC20-780-350-B-3

“Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: During the inspection of the playground, the center did not maintain the required supervision ratio of 1 staff for every 8 children in the Children’s House group where the youngest child was age 2. There was 1 staff member with 15 children.”

8VAC20-780-50-A

“Based on observation, the Center did not ensure that staff and child records were treated confidentially. Evidence: There were records posted at the center dated 3/28/24 and 6/25/24 that contained confidential children’s information.”

8VAC20-780-40-E

“Based on observation and staff interview, the center did not ensure they operate within the terms of the current license issued by the department. Evidence: The current license covers the age range of Birth to 6 years and 11 months. Child #1 is 7 years old.”

22.1-289.035-B-4

“Based on review of 3 staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 7/26/23) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-270-A

“Based on observation and staff interview, the center failed to ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition including but not limited to protrusions or components that could entangle clothing or snag skin. Evidence: 1)On 6/11/24, Child #1 (age 4) was climbing a tree on the lower area of the front playground. Child #1 fell from a branch approximately 78 inches from the ground and the hood of the child’s sweater got caught on a protruding branch measuring approximately 6 inches long and 1 inch thick that was 64 inches from the ground. The child was suspended in the air, hanging from the sweater hood, for approximately 3 seconds until a staff member standing approximately 8 feet away was able to assist the child to safety. Child #1 sustained a scrape along with swelling and bruising on the front and sides of their neck. 2)There are 4 additional branches approximately 7 inches, 12 inches, 17 inches and 20 inches protruding from the same tree on the lower area of the front playground that are a risk for impalement or snagging a child’s skin as children climb this tree. 3)There is a small tree at the upper area of the front playground that has 3 branches protruding approximately 2 inches, 3 inches and 11 inches in length that are a risk for impalement or snagging a child’s skin as children climb this tree.”

8VAC20-780-510-E

“Based on review of 4 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication that requires the duration of the parent authorization be renewed after 10 workdays and written medication authorization should be given from the child’s physician and parent for a long term medication. Evidence: For 2 medications for Child #2, parent authorization was dated 10-8-23 and had not been renewed, and no authorization was given from the physician.”

8VAC20-780-60-A-8

“Based on review of 3 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: During inspection in the Children’s House classroom (ages 2-6) in an unlocked cabinet there was a bottle of Ibuprofen medication that was stored inside a first aid kit that was unlocked.”

8VAC20-780-280-B Complaint related: No

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Children’s House classroom in an unlocked cabinet, there were 5 containers of shoe polish, 2 containers of wood polish, metal polish, glass polish and silver polish. All products contained warnings or cautions on their labels.”

8VAC20-780-550-P Complaint related: Yes

“Based on review of documentation and interview with staff, the center did not ensure that a written record of children’s serious and minor injuries were made the day of occurrence. Evidence: During inspection, written injury records were requested for Child #1 for an injury received on the playground on the week of August 14 where the child bumped their head. No written record was completed for the injury though 2 staff acknowledged the injury had occurred.”

8VAC20-780-270-A Complaint related: No

“(Repeat Violation) Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1) At the Children’s House outside play yard, there are 2 tree branches at approximately 3 feet in height from the ground with sharp branches protruding from the tree by approximately 8 inches that could snag a child’s skin or cause impalement. 2)In the Children’s House classroom (ages 3-6), there was a hot iron with a cord dangling on a child sized ironing board accessible to children. 3)In the Children’s House classroom on a shelf accessible to the children there were matches that are a fire hazard, a risk of choking, and a risk of ingestion of a hazardous substance to the children.”

8VAC20-780-560-G Complaint related: No

“Based on observation and interview with staff, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the NIDO classroom, 2 children had food from home that was stored in the refrigerator and was not labeled with a name and date.”

8VAC20-780-80-A Complaint related: No

“(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the NIDO classroom (ages birth-16 months), there were 4 children present, but the written record reflected there were 7 children present.”